Pediatric trauma due to motor vehicle accidents on high traffic roadway / Trauma pediátrico devido a acidente veicular em via de grande tráfego
Einstein (Säo Paulo)
;
10(1): 29-32, jan.-mar. 2012.
Article
in English, Portuguese
| LILACS
| ID: lil-621505
ABSTRACT
Objective:
To outline a profile of pediatric trauma victims and verify the likelihood of trauma in children on a high traffic roadway.Methods:
A descriptive cohort study of the records of emergency medical service activations on the Rio-Niterói Bridge, a high traffic roadway in Rio de Janeiro, Brazil. Descriptive statistics were expressed as absolute and relative frequencies. The estimated risk of trauma in children aged < 12 years was calculated by means of odds ratios, with a 95% confidence interval.Results:
Trauma accounted for 514 of 1,244 activations (41.31%) of the Rio-Niterói Bridge emergency medical service between March 2002 and March 2003. Response to incidents involving children aged < 12 years accounted for 52 of these (4.18%). Half of victims were between the ages of 6 and 12 years (n = 26), and 55.76% were male (n = 29). Of the 52 victims, 37 (71.15%) were involved in motor vehicle accidents (OR 3.70; 95%CI 1.94-7.13; p < 0.0001). Of these, 28 were vehicle?vehicle collisions (75.67%). The most common sites of injury were the extremities (n = 12; 32.43%), face (n = 10; 27.02%), and head (n = 9; 24.32%). Pre-hospital procedures were performed on 23 of the 37 patients (62.16%), and 44.23% (n = 23/52) required hospital transportation. There were no deaths during the study period.Conclusions:
In this study, children were at significantly higher odds of being treated for trauma while on a highway with heavy traffic flow. The most common sites of injury in this sample were the lower extremities and the head, face, and neck complex.RESUMO
Objetivo:
Caracterizar o perfil dos atendimentos pediátricos por trauma e verificar a chance de ocorrência de trauma em uma rodovia de alto fluxo de veículos.Métodos:
Estudo de coorte descritivo dos dados armazenados nos boletins de atendimentos realizados por grupo de resgate pré-hospitalar da Ponte Rio-Niterói, uma via de grande tráfego, no Rio de Janeiro. Estatística descritiva foi aplicada utilizando-se a frequência simples e percentual, verificando-se o risco estimado de "trauma" em crianças < 12 anos, por meio de odds ratio, com intervalo de confiança de 95%.Resultados:
Em 1.244 atendimentos, entre março de 2002 e março de 2003, trauma representou 41,31% (n = 514), 76% do sexo masculino dos casos. O atendimento a crianças de até 12 anos correspondeu a 4,18% (n = 52) e metade das vítimas tinha entre 6 e 12 anos (n = 26), sendo 29 (55,76%) do sexo masculino. Entre as 52 vítimas, 71,15% (n = 37) estavam envolvidas em acidente de trânsito (OR 3,70; IC95% 1,94-7,13; p < 0,0001), sendo 28 (75,67%) colisões. Os locais mais frequentes de lesões foram extremidades (n = 12; 32,43%), face (n = 10; 27,02%) e cabeça (n = 9; 24,32%). Os procedimentos pré-hospitalares foram realizados em 23 dos 37 pacientes (62,16%) e 44,23% (n = 23/52) necessitaram de remoção hospitalar. Não houve óbito pediátrico durante o período analisado.Conclusões:
Neste estudo as crianças apresentaram maior probabilidade de serem tratadas para traumatismo nessa rodovia de intenso fluxo de veículos. Os locais mais frequentes de lesões foram membros inferiores e o complexo cabeça, face e pescoço.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Wounds and Injuries
/
Accidents, Traffic
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prevalence study
/
Risk factors
Limits:
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Infant, Newborn
Language:
English
/
Portuguese
Journal:
Einstein (Säo Paulo)
Journal subject:
Medicine
Year:
2012
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Federal Fluminense/BR
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